Contribution Form Yes! I would like to donate to the Prince George Community Foundation to help make our community a better place to live. Donor Name I wish to remain anonymous Contact Name (if different) Address Phone Number Email Please select the Fund you wish to donate to. Amount of the Contribution A list of the funds is available below. I wish to make my contribution by: Cheque Please mail your cheque to : Prince George Community Foundation, c/o Coast Inn of the North, 770 Brunswick Street, Prince George, British Columbia, V2L 2C2 Visa/Mastercard Please indicate your Card number Expiration CSV Stock Pledge Over a period of time Payment schedule will be Estate Planning Other A Foundation representative will contact you to discuss the details for this type of gifts. You may make your pledge through credit card or post-dated cheque. 1 year 2 years Monthly 3 years Quarterly 5 years Yearly Other Other A Foundation representative will contact you to discuss the options for these gifts. Bequest Life Insurance Gift Annuity Residential Interest Trust Charitable Remainder Trust Real Estate Pooled Income Fund I wish to learn about Corporate/Business Fund Family Fund Organization Fund establishing one of Memorial Fund Scholarship Fund the following : Please fax this form to our office at (250) 564-564-2258 or mail to : Prince George Community Foundation, c/o Coast Inn of the North, 770 Brunswick Street, Prince George, British Columbia, V2L 2C2 List of funds Organization Funds 94X Safe Streets Fund Administration Endowment Fund BC New Hope Recovery Fund Capital Asset Fund Child Development Center City of Prince George Endowment Fund CNC Endowment Fund Community Art Council Fund Cranbrook Hill Greenway Society Cultural Communities Legacy Fund Disadvantaged Youth Fund Festival of Arts Legacy Forest and Resources Expo Endowment Fund Fraser Fort George Museum Society Endowment Fund GOLF Tournament Fund-raiser Fund Good Cheer Club Endowment Fund Hospice Endowment Fund HYPE Endowment Kordyban Lodge Endowment Fund Mackenzie Catholic Men's Club Bursary Fund Multicultural Heritage Society Endowment Fund Nor-Spec Corp Endowment Fund P.G. Hindu Cultural Society Fund Theatre Northwest Fund Two Rivers Art Gallery WIDHH - NBC Branch Endowment Fund PG 2008 BC Seniors Games Legacy Fund PG Concert Association Fund – Northern Stars PG Hospice Fund PG Spinners and Weavers Guild Endowment Fund PG Symphony Orchestra Endowment Fund PG Youth Soccer Association PGCA: Northern Star PGCA: Prince George Dance Festival PGCA: Prince George Speech, Arts PGCA: Prince George & District Music Festival Pre-1950 School Re-Union Fund Prince George Citizen Endowment Prince George Public Library Legacy Fund Prince George United Way Endowment Fund Quality Council Endowment Quinson Choir Flow Through Railway and Forest Industry Museum Fund RBC Cup Legacy Endowment Fund Road to the Roar Legacy Fund Scott Tournament of Hearts Shel Jacobsen Financial Services Inc. Smart and Caring Community Fund Sports Legacy Family Endowment Funds Andersen Family Endowment Fund Assman Family Fund Backhouse, John Endowment Fund Baldwin Family Endowment Fund Blair Family Endowment Fund Campbell, Brent & Brenda Family Endowment Fund Dahlstrom Family Fund Darrell Hubbell Family Endowment fund Davy Family Fund Dilworth Family Fund Dix Family Fund Gould Family Fund Gratton Family Endowment Fund Gray Family Endowment Fund Hazelwood Family Endowment Fund Illes Family Endowment Fund Kerr Family Fund Kerr Family Fund Citizen of the Year MacRitchie Family Endowment Fund McGhee Family Endowment Fund Moffat Education Fund Moffat Family Endowment Fund Molendyk Family Endowment Fund Morgan, Lance & Pat Legacy Endowment Fund Pateman Family Endowment Fund Poff/Michalos Family Endowment Fund Rogers Family Fund Rustad, Elsie and Mel Memorial Fund Sethi Family Endowment Fund Shepherd Family Endowment Fund Veeken Family Endowment Fund Voneugen Family Endowment Fund Waldie Family Endowment Fund Wilson Family Fund Zimmerman Family Endowment Fund Memorial Funds Scholarship /Bursary Funds Bridges, John Allen Memorial Fund Cooney, A.W. (Bud) Memorial Fund Dick & Marilyn Nourse Legacy Fund Evanoff, George Memorial Fund Fitzpatrick, Cpl. Darren James Memorial Glazier, Marie Memorial Fund Goode, Robert A. (Bob) Memorial Fund Harkins, Bob Memorial Endowment Klimek, Henrietta (Heni) Memorial Fund Randy Sulyma Endowment Fund Ryan Shiels Memorial Fund Santos, Lindsay Memorial Bursary Fund Winther, Chris Memorial Fund Blackburn Family Scholarship Fund College of New Caledonia Endowment Fund CNC/BCRFA Culinary Scholarship Endowment Fund CNC/Bogle, J. Harold Memorial Fund CNC/Dezell, Bea Endowment Bursary CNC/Minerva Flow-Though CNC/Rustad, Carrie & Carl Endow Scholarship Fund CNC/Rustad, Jim & Noreen Bursary CNC/Weninger, Dr. Terry Endowment Fund Prince George Hindu Cultural Society Scholarship Fund UNBC ~ NMS Dr. Bob Ewert Memorial Endowment Fund UNBC Northern Medical Programs Trust Regional Community Funds Flow Through Burns Lake & District Community Foundation Endow Fund Burns Lake & District Community Foundation Partnership Flow-Through Chilako River-Nechako Community Endowment FundArea C Crooked River-Parsnip CF End Fund Fort St. James Community Foundation Endowment Fund Hixon-Woodpecker Community Endowment FundArea E Kitimat Community Foundation McBride Community Foundation Endowment Fund Salmon River & Lakes Community Endowment FundArea A Terrace Community Foundation Valemount Community Endowment Fund Willow River-Upper Fraser Community Endowment Fund- Area F Arts Flow Through Grants Flow Through Judo Club Flow-Through Fund Operating Flow through Fund Performing Art Center Society Flow Through Prince George Regional Performance Arts Centre Society Flow through Fund True Sport Foundation Flow through Fund Vancouver LEAD FLOW THROUGH Other Administration Endowment Fund (Anonymous Donor)